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Chief Operating Officer - Montana PMG

Providence Health & Services
life insurance, parental leave, 401(k)
United States, Montana, Missoula
Feb 06, 2026

Description

Calling all Esteemed Leaders!

Are you an operational and nursing executive who thrives in integrated, multisite environments-uniting clinical excellence, physician partnership, and disciplined operations? Do you inspire highperforming teams, advance evidencebased practice, and deliver outstanding patient, provider, and caregiver experiences? If so, this COO role in the Providence Medical Group (PMG) Montana Service Area invites you to lead with purpose and impact.

The Role:

The Chief Operating Officer (COO) provides dual operational leadership for Providence Medical Group (PMG) - Montana Service Area. This role:



  • Supports employed and contracted physicians and holds accountability for standards of nursing practice across PMG.
  • Partners with executive leadership on strategy development and execution.
  • Has direct accountability for Primary Care, First Step, the FQHC project, and specialty clinics not aligned with a serviceline leader.
  • Provides systemlevel support to serviceline leaders and staff regarding nursing scope, policy, and operational improvements.
  • Owns care delivery operations and quality, provider/staff/patient engagement and satisfaction, and onboarding for patients, providers, and staff.


The COO advances MSAwide standardization, clinical integration, and consolidation to deliver a seamless continuum of care, aligned to reimbursement realities and PMG strategic goals.

What You'll Do:



  • Plan & Align
  • Lead annual and multiyear financial and operational plans for PMG; coach leaders on objectives and progress.
  • Apply evidencebased practice and strategic analysis to guide decisions; identify scenarios and implications; set priorities and execute decisively.
  • Participate in PMG strategic planning and budget formation with the RCE Medical Group, Regional Operations, and MSA Physician Chief Executive.
  • Organize & Execute
  • Design organizational structures and management systems that enable administrative and clinical integration across sites.
  • Maintain current organizational charts and coordinated information flow for efficient operations.
  • Lead integration strategies (program development, quality, fiscal management, compliance, clinical management, physician relationships, outcomes, reimbursement).
  • Lead People & Culture
  • Demonstrate expert leadership in communication, delegation, judgment, and listening .
  • Ensure equitable talent practices : selection, motivation, development, and performance accountability.
  • Build a culture of professional growth, feedback, recognition , and constructive accountability; complete evaluations on time; hold regular staff meetings.
  • Lead management orientation and continuing education ; mentor leaders through change.
  • Control & Improve
  • Ensure timely, accurate, efficient operational performance; measure against objectives and regulatory standards.
  • Provide prompt feedback and corrective action ; set clear performance standards (competency, productivity, PI, resource use, outcomes).
  • Establish and monitor a Quality Assessment & Performance Improvement plan: gather data, resolve deficiencies, and sustain improvements.
  • Ethics, Confidentiality & Safety
  • Uphold an ethical and moral framework in all decisions; safeguard rights of staff, patients, and the organization.
  • Maintain strict confidentiality of patient, medical staff, and employee information.
  • Champion a safe environment: Environment of Care, Infection Control, Exposure Control ; model consistent use of PPE and safety practices.
  • Clinical Operations & Experience
  • Administer wellorganized departments delivering highquality, costeffective care ; keep policies current and integrated.
  • Colead (with physician leadership) programs to monitor, evaluate, and improve the six IOM aims : safe, effective, patientcentered, timely, efficient, equitable.
  • Lead recruitment and retention for staff; ensure ongoing development and staffing adequacy.
  • Advance service excellence and a positive, respectful, inclusive environment.
  • Physician & Community Relations
  • Build and maintain collaborative relationships with medical staff; establish communication channels for physician input.
  • Foster effective business relationships across physician leaders, hospital leaders, payers, and the community; integrate physician leaders into decisionmaking.
  • Technology, Data & Strategy Enablement
  • Partner with information systems teams to ensure appropriate technological support.
  • Identify clinical improvement opportunities; integrate care services and pathways.
  • Provide support for credentialing/recredentialing and contracting .
  • Lead recruitment for key management roles; oversee PMG recruitment and new provider orientation .
  • Governance, Standards & Special Initiatives
  • Champion the Pathways to Excellence journey in PMG Montana .
  • Participate in PMG MOR and assigned infrastructure functions.
  • Sustain professional affiliations to keep current with industry trends .


What You'll Bring:



  • Education
  • Master's Degree in Nursing, Business Administration, Public Affairs, Health Administration, or related field
  • Bachelor's Degree in Nursing (BSN), Business Administration, Public Affairs, Health Administration or related subject.
  • Experience
  • 8+ years of senior leadership, including multifacility/site leadership
  • 4+ years leading multiple facilities/sites/clinics/departments
  • 2+ years leading teams with demonstrated professional development
  • 1+ year clinical background/experience in area of responsibility
  • Experience within an integrated delivery system (preferred)
  • Operational & Financial Acumen
  • Strong knowledge of clinic operations, physician group practices, financial management, cost analysis, information systems, and insurance contracts
  • Understanding of physician compensation design, trends, and contracts; physician payment mechanisms and strategies
  • Ability to support physician growth and maintain market competitiveness
  • Leadership & Competencies
  • Proven ability to lead complex organizations through transition and growth in a matrixed environment
  • Establish structures and systems that achieve administrative and clinical integration
  • Demonstrated problemsolving, decisionmaking, and timely consensus building
  • Effective at change leadership, education, and credible oversight of management teams
  • Ability to form relationships across diverse groups; strong communication and listening skills
  • Comfortable leading in a Catholicsponsored organization


Why Join Us?



  • Lead dual-impact operations & nursing: Drive care delivery, clinical practice, and service excellence across PMG Montana.
  • Shape strategic growth: Guide planning, integration, and performance in a dynamic, multisite environment.
  • Strengthen physician partnership: Build trusted relationships that advance quality, access, and experience.
  • Elevate caregiver culture: Recruit, develop, and retain teams aligned to our mission and Pathways to Excellence.
  • Deliver measurable outcomes: Improve quality, safety, satisfaction, and affordability across the continuum.


Ready to Shape the Future of Healthcare?

If you're a strategic, valuesdriven operations and nursing executive ready to lead with excellence, collaboration, and compassion, we invite you to apply.

At Providence we believe in the importance of human connection and the impact of in-person collaboration towards team cohesion and caregiver engagement. Further, we want our leaders to live in or near the communities we serve. Therefore, leaders applying for this role will be required to work a hybrid schedule, which consists of three days onsite, two days remote and live within a reasonable commuting distance to the ministry or service area they support and lead.

About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Requsition ID: 414559

Company: Providence Jobs

Job Category: General Operations

Job Function: Operations

Job Schedule: Full time

Job Shift: Day

Career Track: Leadership

Department: 3501 PM ADMIN MT

Address: MT Missoula 500 W Broadway

Work Location: St Patrick Hospital-Broadway Bldg-Missoula MT

Workplace Type: On-site

Pay Range: $78.86 - $144.06

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.


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